83c

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS USCIS

0028
1615
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Enter only items that change
Current record

New record

Agency form number (s)

I-600, I-600A, Supp 1, Supp 2

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

USCIS is clarifying one sentence in the I-600 Instructions to ensure that Form I-600 is properly filed with Department of State
instead of with USCIS when appropriate.
Signature of Senior Official or designee:

Date:

4/15/2021
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
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10/95